4B5-15034-67744

3 vaccinations 7 coded responses 26 check-ins 7 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 762 / TX
Registered: 2021-02-25

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Epistaxis, Rhinorrhoea — Feeling: Good

Free text: Cough, runny nose, blood in nasal discharge.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 14, dose 2
MedDRA: Burning sensation, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Bilateral heel pain and burning sensation when walking, sitting, driving, and lying down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Constipation, Hyperventilation, Pain, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left lower abdominal pain.Pain increases with palpation, deep breathing, & walking. No fever or constipation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — day 42, dose 2
MedDRA: Burning sensation, Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Bilateral heel pain with burning sensation. · Healthcare visit (other): PCP and Ortho

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Survey response — 6 months, dose 2
MedDRA: Asthenia, Cough, Fatigue, Headache, Myalgia, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Upper-airway cough syndrome — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chronic headaches, every day.Most severe headache ever experienced. Muscle aches, fatigue, weakness, congestion, sore throat, cough, runny nose, post nasal drip.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-07
Call 1 — Left Voicemail
2021-10-07
Call successful
Participant prefers to complete VAERS report online
2021-11-19
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-04-03
Survey response — 12 months, dose 2
MedDRA: Anxiety, Asthenia, Cough, Emergency care, Fatigue, Myalgia, Occupational therapy, Office visit, Physiotherapy, Pyrexia, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Periods of chronic fatigue, weakness, muscle aches, cough, post nasal drip, congestion, low grade fever. Symptoms come and go and may not be Covid related. One ER visit secondary to anxiety attack, not treated. Multiple PT, OT & chiroprac treatments.

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-05
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-04-01	Moderna
3	2021-11-19	Pfizer-BioNTech	Flu

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Cough

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Cough, runny nose, blood in nasal discharge.

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Bilateral heel pain and burning sensation when walking, sitting, driving, and lying down.

Release 8 — day 28, dose 2

2021-04-29

Symptoms: Left lower abdominal pain.Pain increases with palpation, deep breathing, & walking. No fever or constipation.

Release 8 — day 42, dose 2

2021-05-13

Symptoms: Bilateral heel pain with burning sensation.

Healthcare visit (other): PCP and Ortho

Release 9 — 6 months, dose 2

2021-10-02

Symptoms: Chronic headaches, every day.Most severe headache ever experienced. Muscle aches, fatigue, weakness, congestion, sore throat, cough, runny nose, post nasal drip.

Release 11 — 12 months, dose 2

2022-04-03

Symptoms: Periods of chronic fatigue, weakness, muscle aches, cough, post nasal drip, congestion, low grade fever. Symptoms come and go and may not be Covid related. One ER visit secondary to anxiety attack, not treated. Multiple PT, OT & chiroprac treatments. cut off by CDC

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Anxiety	·	·	✓
SD	Asthenia	·	·	✓
SD	Burning sensation	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Cough	·	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hyperventilation	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Occupational therapy	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Physiotherapy	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release